Question

Claims for Medicaid patients enrolled in a managed care plan are paid according to what fee schedule?

a.PPO
b.Medicaid
c.Medicare
d.Capitated

Answer 1

Medicaid patients enrolled in a managed care plan are paid according to a capitated fee schedule.

Step-by-step explanation:

In the case of Medicaid patients enrolled in a managed care plan, the claims are paid according to a capitated fee schedule. A capitated fee schedule means that the medical care providers are paid a fixed amount per patient enrolled in the plan, regardless of the services provided. This is different from a fee-for-service payment model where providers are reimbursed based on the cost of services provided.